Shift work schedule and damage to nursing workers’ health at Brazilian public hospital

Silva, Rosângela Marion da; Tamiozzo, Juliana; Lauz, Eduardo Rodrigues; Lenz, Flávia Camef Dorneles; Pretto, Carolina Renz; Beck, Carmem Lúcia Colomé; Centenaro, Alexa Pupiara Flores Coelho; Santos, José Luís Guedes dos

doi:10.1590/0034-7167-2021-0836

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (6) • 2022 • https://doi.org/10.1590/0034-7167-2021-0836 copy

Shift work schedule and damage to nursing workers’ health at Brazilian public hospital

Turno de trabalho e danos à saúde dos trabalhadores de enfermagem em um hospital público brasileiro

Turnos de trabajo y daños a la salud de los trabajadores de enfermería en un hospital público brasileño

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to compare work-related damage between the day and night shifts of nursing workers in at a public hospital.

Methods:

a cross-sectional, and correlational study, conducted with 308 nursing workers from a Brazilian public hospital. Data collection took place from September 2017 to April 2018 using self-administered questionnaires that investigated socio-occupational variables and the effects of work (Work-Related Damage Assessment Scale). Analysis was descriptive and analytical with a 5% significance level.

Results:

during the day shift, the variables that most influenced nursing professionals’ health were body pain, headache, back pain, legs pain, and sleep disorders. When comparing the shifts, it was identified that daytime influences the studied variables more than nighttime. Job tenure was correlated with psychological damage.

Conclusions:

the results showed a greater influence of the day shift on the health of professionals who work in a hospital environment. Job tenure influences psychological damage.

Descriptors
Shift Work Schedule; Nursing; Occupational Health; Health; Hospitals; Public.

Physical damages	DAY Mean(±SD) Md(IQR)	NIGHT Mean(±SD) Md(IQR)	*p value^ * Mann-Whitney U test; SD - standard deviation; Md - median; IQR - interquartile range.**
Body pain	3.57(2.00)	3.36(2.03)	0.393
Body pain	4.00(2.00-6.00)	3.00(2.00-6.00)	0.393
Arm pain	2.70(2.11)	2.58(2.03)	0.724
Arm pain	2.00(1.00-5.00)	2.00(1.00-4.00)	0.724
Headache	3.09(2.14)	2.45(2.14)	0.009
Headache	3.00(1.00-5.00)	2.00(1.00-4.00)	0.009
Respiratory disorders	1.00(1.64)	0.88(1.41)	0.881
Respiratory disorders	0.00(0.00-2.00)	0.00(0.00-1.00)	0.881
Digestive disorders	1.73(1.79)	1.88(1.82)	0.448
Digestive disorders	1.00(0.00-3.00)	2.00(0.00-3.00)	0.448
Back pains	3.82(2.03)	3.43(2.21)	0.098
Back pains	4.00(2.00-6.00)	4.00(1.00-6.00)	0.098
Hearing disorders	0.48(1.17)	0.52(1.17)	0.843
Hearing disorders	0.00(0.00-0.00)	0.00(0.00-0.00)	0.843
Appetite changes	1.90(2.10)	1.86(2.11)	0.779
Appetite changes	1.00(0.00-3.00)	1.00(0.00-3.00)	0.779
Vision disorders	1.22(1.83)	1.48(1.89)	0.112
Vision disorders	0.00(0.00-2.00)	1.00(0.00-3.00)	0.112
Sleep disorders	3.02(2.21)	3.02(2.28)	0.869
Sleep disorders	3.00(1.00-6.00)	3.00(1.00-5.00)	0.869
Leg pain	3.78(1.85)	3.57(2.09)	0.511
Leg pain	4.00(2.00-6.00)	4.00(2.00-6.00)	0.511
Circulatory disorders	1.50(1.92)	1.30(1.89)	0.198
Circulatory disorders	1.00(0.00-3.00)	0.00(0.00-2.00)	0.198

Social damages	DAY Mean(±SD) Md(IQR)	NIGHT Mean(±SD) Md(IQR)	*p value^ * Mann-Whitney U test; SD - standard deviation; Md - median; IQR - interquartile range.**
Insensitivity to co-workers	1.47(1.72)	1.25(1.55)	0.328
Insensitivity to co-workers	1.00(1.00-3.00)	1.00(1.00-2.00)	0.328
Difficulties in relationships	1.30(1.64)	1.07(1.49)	0.129
Difficulties in relationships	1.00(0.00-2.00)	0.00(0.00-2.00)	0.129
Willingness to be alone	2.39(1.98)	1.90(1.94)	0.019
Willingness to be alone	2.00(1.00-4.00)	1.00(0.00-3.00)	0.019
Conflicts in family relationships	1.62(1.73)	1.31(1.52)	0.126
Conflicts in family relationships	1.00(0.00-3.00)	1.00(0.00-2.00)	0.126
Aggressiveness towards others	1.20(1.49)	1.02(1.27)	0.448
Aggressiveness towards others	1.00(0.00-2.00)	1.00(0.00-2.00)	0.448
Difficulty with friends	0.85(1.17)	0.71(1.17)	0.318
Difficulty with friends	0.00(0.00-1.00)	0.00(0.00-1.00)	0.318
Impatience with people in general	1.92(1.77)	1.62(1.56)	0.199
Impatience with people in general	1.00(1.00-3.00)	1.00(0.00-3.00)	0.199

Psychological damages	DAY Mean(±SD) Md(IQR)	NIGHT Mean(±SD) Md(IQR)	p *value^ * Mann-Whitney U test; SD - standard deviation; Md - median; IQR - interquartile range.**
Bitterness	0.90(1.50)	0.85(1.34)	0.887
Bitterness	0.00(0.00-1.00)	0.00(0.00-2.00)	0.887
Feeling of emptiness	1.27(1.68)	1.13(1.59)	0.410
Feeling of emptiness	1.00(0.00-2.00)	0.00(0.00-2.00)	0.410
Feeling of helplessness	1.23(1.78)	1.04(1.53)	0.470
Feeling of helplessness	0.00(0.00-2.00)	0.00(0.00-2.00)	0.470
Bad mood	1.91(1.78)	1.66(1.60)	0.278
Bad mood	1.00(0.00-3.00)	1.00(0.00-2.00)	0.278
Willingness to give up everything	1.26(1.80)	0.94(1.55)	0.065
Willingness to give up everything	1.00(0.00-2.00)	1.00(0.00-1.00)	0.065
Sadness	1.71(1.75)	1.40(1.68)	0.061
Sadness	1.00(0.00-3.00)	1.00(0.00-2.00)	0.061
Irritation at all	1.71(1.80)	1.38(1.60)	0.119
Irritation at all	1.00(0.00-3.00)	1.00(0.00-2.00)	0.119
Feeling of abandonment	1.16(1.68)	0.88(1.41)	0.125
Feeling of abandonment	1.00(0.00-2.00)	0.00(0.00-2.00)	0.125
Doubt about the ability to do the tasks	1,06(1.38)	0.85(1.29)	0.078
Doubt about the ability to do the tasks	1.00(0.00-2.00)	0.00(0.00-1.00)	0.078
Loneliness	1.19(1.69)	0.94(1.54)	0.118
Loneliness	0.00(0.00-2.00)	0.00(0.00-1.00)	0.118

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[1] Corresponding author: Rosângela Marion da Silva E-mail: rosangela.silva@ufsm.br